Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SMILE IN STYLE DENTAL PLLC

NPI: 1699047886 · BELLEROSE, NY 11426 · Dentist · NPI assigned 02/02/2012

$1K
Total Medicaid Paid
56
Total Claims
56
Beneficiaries
4
Codes Billed
2020-12
First Month
2020-12
Last Month

Provider Details

Authorized OfficialSHAMALOVA, IRINA (DENTIST)
NPI Enumeration Date02/02/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 56 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 16 16 $653.28
D0120 Periodic oral evaluation - established patient 16 16 $326.72
D0274 Bitewings - four radiographic images 12 12 $245.04
D0220 Intraoral - periapical first radiographic image 12 12 $118.32